15D2298974 CLIA NUMBER - TRUE HEALTH EXPERIENCE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 15D2298974
  • Facility Name: TRUE HEALTH EXPERIENCE CLINIC LLC
  • Facility Address: 6910 N MAIN ST BUILDING 4
    GRANGER, IN
    ZIP 46530
  • Facility Phone: 219 695-7696
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAWN M. MAHAFFEY
  • NPI Number: 1821868902
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2298974
LAB Type Practitioner Other
Facility Name TRUE HEALTH EXPERIENCE CLINIC LLC
Street 6910 N MAIN ST BUILDING 4
City GRANGER
State IN
ZIP 46530
Phone 219 695-7696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Practitioner Other
Lab Director DAWN M. MAHAFFEY

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This page was last updated on: 9/29/2025